Laserfiche WebLink
�� aaaaaaar aa�a i ti i i i i i � ti � i S t� <br /> CHAIN OF CUSTODY RECORD &H To SHERWOOD LABS <br /> PO BOX 937 r <br /> horwood8071 N Lander AvenueHILMAFJ, CA 95324 <br /> 4Labs <br /> SPO Box 937 <br /> Hilmar, California 95324 <br /> (209)667-5258 <br /> Attention <br /> CORPORA T r p N FAX(209)667-2581 STEPHANI ROS50W Phone 209 G67-5258 Page / of <br /> Job Number PO A Proleot Name n <br /> KPau- Lan, r <br /> Samplors ISignsture) Site Addrey <br /> a� - <br /> ��v <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) (WHIUAYNA) IHOUFVWN) OF (GRAB OR <br /> OONTAINERS CONPOSITE) MATRIX REMARKS <br /> [SUV — a � to a 1`�'��7--�1 <br /> OTE 'SAMLE- <br /> y i <br /> x <br /> O <br /> Q <br /> Rehn fished By (Signature) Data? e J/,. r—17 Fleceived8y (Signature) OarelTrmecp <br /> L�OND TIME <br /> ger .� �I 99 a&`vo <br /> Reim abed (Signature) y p�gff eoeN*d9y (Slgnaw) ale/Time 24 HOUR <br /> �� 48 HOUR <br /> eimqu+shedBy {Sionawre( Dalaffane ReooWdBy re) Dalerfhne <br /> a DAY U <br /> DISTRIBUTION Original-Acoamparnes Shipment Canary COPY-Sherwwd Pink Copy Sampler N 1 Sample are drewded 30 days atter results ara reported unless omer arrangements aaze made <br />